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Parcel 020-1119-70-000 08/11/2006 04:16 PM
PAGE 1 OF 1
Alt. Parcel 17.29.19.514 020 - TOWN OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - WILLERS, AARON
AARON WILLERS
405 BROOKWOOD DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 405 BROOKWOOD DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.780 Plat: 2553-TROUT BROOK WOODS ADDITION
SEC 17 & 18 T29N R1 9W TROUT BROOK WOODS Block/Condo Bldg: LOT 11
ADDITION LOT 11
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
01/12/2004 751256 2489/505 WD
05/07/2003 720375 2232/509 WD
08/27/2001 654893 1707/102 QC
08/27/2001 654892 1707/101 OC
more,,,
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.780 71,700 244,400 316,100 NO
Totals for 2006:
General Property 1.780 71,700 244,400 316,100
Woodland 0.000 0 0
Totals for 2005:
General Property 1.780 71,700 244,400 316,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 134
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
aER J~ i 4' c' del , TO'JNSHIP / SEC
AD ESS L /J c h. . T RT
ST. CROIX COUNTY, WISCONSIN.
3DIVISIGV LOT j/ LOT SIZE .
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
`jam Cl+~
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I I
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Indicate North. Arrow
-
I ! ; SCALE:
PTIC TANK(S) 12 (C' MFGR.'. CONCRETE STEEL
10. of rings on cover__./_ Depth DRY WELL
tLNCHES NO. of _ width length area
no. of lines ___3 width ~length~ area r,
depth to top of ipe
~GREGATE
t' , RATE AREA REQUIRED AREA AS BUILT -8
twlaimer: The inspection of this system by St. Croix County does not imply complete
;09liance with State Administrative Codes. There are other areas that it is not possible
o inspect at this point of construction. St. Croix County assumes no liability for
stem operation. However, if failure is noted the County will make every effort to
i~ormine cause of failure.
'EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
. f -
'-INSPECTOR
DATED PLIJ; tBER ON JOB
LICENSE NUMBER 7 7
I
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g
l~.
7` ff,
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REPORT OT' ITISPECTIO:1--I71
DIJIlli1AL SL?IAC,E DISPOSiV, SYSTEM
Sanitary Permit
r State Septic
T&VINSHIP
• t. Croix County
SEPTIC TA'?Y
i
Si ze gallons. 'umber of Compartments ,
Distance Front: 'fell ft. 12% or greater slope fi.
Building` ft. Wetlands ft
ILighwater ft.
DISPOSAL SYSTLii Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope ft
Building; ft. Wetlands f:.
FIELD i;ighwater ft.
Total length of lines ft. Number of lines Length of
each line ft. Distance between lines ft. Width of the
trench ft. Total absorption area sq, ft. Dept::
of rock below the in. Dp-pth of rock over tile in. Cover
-over. rock,, Dept'- of tile below grade in. Slope of .
trench in ner 100 ft. Depth to Bedrock ft. Depth to
ground water ft,
PITS -
Number of nits Outside diameter £t. Depth below inlet
ft. Gravel around pit: --__yes no, Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
wquare feet of seepage nit area required '
Inspected by: Title':
Approved .Date 197 ,
Rejected Date 197 ,
j
4,115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVIFAON OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: -A4, Section TL-- R €---tcTl W, Township oi- Municipality
Lot No. _P, Block No. County
Subdivision Name
Owner's Name:
Mailing Address: 6-7"Z .-i Y,4 I- Kti' 4
TYPE OF OCCUPANCY: Residence, No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT /
DATES OBSERVATIONS MADE: SOIL BORINGS` 7 PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE 14 ~~~,If'n
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ 7-4
rr !i l/l (i
P- -7
:P -
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
:F, 4
B-
Z/2
4 ~ B-
z7it
4 F 9 i -
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate numb 7 of square feet of absorption area
needed for building type and occupancy. ` /'T ~Ze:4' '•7A'4 WtCH L /S ISC- L Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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I, the undersigned, hereby certify th t the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Name (print) Certification No. _7 Address
Name of installer if known
COPY A -LOCAL AUTHORITY CST Signature
` State and County State Permit #
• P L B 6 Permit Application County Permit #
for Private Domestic Sewage Systems County
•
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: iLl Y4, Section , T V N, R f) W Lot# Z/ City
Subdivision Name, nearest road, lake or landmark Blk# Village _
' Township /Yep 4 ~ ~ C. TYPE OF OCCUPANCY: *Commercial Industrial *Other (specify) `Variance
Single family Duplex No. of Bedrooms No. of Persons_
D. TYPE OF APPLIANCES: Dishwasher YES _,Y,_ NO Food Waste Grinder-YES -<NO # of Bathrooms-'
Automatic Washer YES NO Other (specify)
E SEPTIC TANK CAPACITY Total gallons No. of tanks r
"Holding tank capacity Total gallons No. of tanks
.r\;ew Installation --Addition Replacement- Prefab Concrete-- _
'Poured in Place Steel Other (specify)
EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) _57 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length -~5/ Width /a• Depth Tile Depth No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 2 Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester, 57
NAME i f-l C.S.T. # ~ 5 and other information
obtained from /zJG tL' (owner/builder).
Plumber's Signature MP/MPRSW# Phone #,jrk-
Plumber's Address '7 9 L 46 O~2 /11 f> e w
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application % % Fees Paid: State ! County Date l
Permit Issued/Rejeeted (date) ~ -~2 -Issuing Agent Name r ~Z
Inspection Yes__ ~No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy) Revise